Fitzgerald, Kim S.

Fitzgerald, Kim S. is an individual health care provider with primary practice located at 10 Severance Cir , Cleveland Heights OH 44118-1533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fitzgerald, Kim S. can be contacted via phone (216) 524-7377.

Contact Information

Primary practice address
10 Severance Cir Cleveland Heights OH 44118-1533
Phone: (216) 524-7377
Fax: (216) 297-2756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35-050298 Ohio

Profile Details

NPI number 1235244492
LBN Legal business name Fitzgerald, Kim S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Oct 7th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235244492 NPPES
Ohio MEDICAID 0602977

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